SHANNA L. COLPETZER (NPI# 1386071496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386071496 |
| Entity Type | Individual |
| Full Name | SHANNA L. COLPETZER |
| Credential | LPC |
| Practice Address |
2112 S Congress Ave Ste 104 104 Palm Springs FL 33406-7670 |
| Practice Telephone | 5616536292 |
| Mailing Telephone | 5616536292 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH11713 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015379 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2112 S CONGRESS AVE STE 104 104 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33406-7670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093987869 | Edgar Caminero | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2008-04-01 |
| 1124419338 | Ingrid Castillo | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2015-02-10 |
| 1821489394 | Ashna Kyla Wallace | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2015-02-05 |
| 1902297492 | Yonel Simon | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2015-02-05 |
| 1649661158 | John Phelps | Social Worker | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2015-02-05 |
| 1720484512 | Maria Dolores Obregon | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2014-11-06 |
| 1700298569 | Danna Powers | Counselor | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2014-05-28 |
| 1679993174 | Melanie Tolchin | Social Worker | 2112 S Congress Ave Ste 104, Palm Springs, FL 33406-7670 | 2014-04-23 |
| 1730510553 | Gessy Azurin | Social Worker | 2112 S Congress Ave Ste 104, 104, Palm Springs, FL 33406-7670 | 2013-12-04 |
| 1396174777 | Lisa Cover | Social Worker | 2112 S Congress Ave Ste 104, 104, Palm Springs, FL 33406-7670 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689147621 | The Center for Life Changes | Counselor | 1700 S Araby Dr Apt 6, Palm Springs, CA 92264-6812 | 2019-01-02 |
| 1710377320 | Pamela Steele | Counselor | 1480 E Sierra Way, Palm Springs, CA 92264-9203 | 2015-02-03 |
| 1821144700 | Raul Hernandez | Counselor | 2112 S Congress Ave, 104, Palm Springs, FL 33406-7670 | 2007-01-25 |
| 1184686917 | Christie Munson Baker | Counselor | 193 S Civic Dr, Suite # 6, Palm Springs, CA 92262-7215 | 2006-04-05 |
| 1790386654 | Dorry Lillard | Counselor | 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262-1866 | 2020-11-05 |
| 1538715289 | Cynthia Stava | Counselor | 4375 E Calle De Ricardo Ste B, Palm Springs, CA 92264-1448 | 2019-08-16 |
| 1053832071 | Kirese Yakira Serafin | Counselor | 19531 Mclane Street, Suite B, Palm Springs, CA 92262 | 2017-06-29 |
| 1972048767 | Darcy Aviles | Counselor | 333 S. Farrell Dr., Palm Springs, CA 92262 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739038 | Lori Carol Helms | Counselor | 311 Us Highway 27 S, Sebring, FL 33870-2106 | 2020-10-29 |
| 1326646407 | Cheryl A Scott | Counselor | 3778 Suffolk Dr, Tallahassee, FL 32309-3005 | 2020-10-12 |
| 1134727274 | Inner Peace Counseling & Wellness | Counselor | 334 E Lake Rd Dept 280, Palm Harbor, FL 34685-2427 | 2020-10-12 |
| 1003413923 | Kristen Thompson | Counselor | 519 Briarwood Dr, Pensacola, FL 32506-6220 | 2020-10-04 |
| 1073120432 | Grow Mental Health Services, LLC | Counselor | 3585 Cedar Park Ln, Panama City, FL 32404-3824 | 2020-09-29 |
| 1528675162 | Ct Counseling, LLC | Counselor | 23051 Nw County Road 200a, Lawtey, FL 32058-4215 | 2020-09-28 |
| 1275140170 | Jerrai Rochelle Young | Counselor | 5111 Galloway Rd, Graceville, FL 32440-4309 | 2020-09-25 |
| 1770198129 | Jeanine Smith | Counselor | 7433 Se Marsh Fern Ln, Hobe Sound, FL 33455-7844 | 2020-09-12 |
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1164036059 | Dorelys Raquel Rivera | Counselor | 479 Basking Ridge Ct, Ocoee, FL 34761-1721 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 33406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.